Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $28.51 / $93.53	Professional		$25.76	$28.51	$93.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $8.91 / $20.59	Professional	26	$8.48	$8.91	$20.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $19.57 / $39.15	Professional	TC	$17.28	$19.57	$39.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $14.72 / $49.95	Professional		$14.72	$14.72	$49.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.72 / $14.72 / $18.20	Facility	26	$14.72	$14.72	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.92 / $45.13 / $75.05	Professional		$36.92	$45.13	$75.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $14.68 / $23.87	Professional	26	$11.10	$14.68	$23.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.42 / $30.13 / $52.42	Professional	TC	$22.42	$30.13	$52.42
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $14.72 / $14.72 / $18.20	Facility	26	$14.72	$14.72	$18.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $49.61 / $78.77	Professional		$30.60	$49.61	$78.77
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.33 / $22.00	Professional	26	$10.23	$15.33	$22.00
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.41 / $28.72 / $38.65	Professional	TC	$22.41	$28.72	$38.65
United Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $24.90 / $86.94	Professional		$20.99	$24.90	$86.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.64 / $8.07 / $18.39	Professional	26	$7.64	$8.07	$18.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.92 / $16.32 / $39.28	Professional	TC	$12.92	$16.32	$39.28